Form FTB 626 is a form used by the California Franchise Tax Board to collect information from taxpayers. The form is used to determine the taxpayer's residency status for tax purposes. The form must be completed and submitted by taxpayers who are no longer residents of California, or who are claiming non-residency status for tax purposes. The form can be downloaded from the Franchise Tax Board's website, or obtained through your local tax preparer. Completion of this form is important, as it may impact your tax liability in California.
| Question | Answer |
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| Form Name | California Form Ftb 626 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names |
Request for Chief Counsel to Relieve Penalties
Please see the reverse side of this form for general instructions and mailing information.
Use this form to request relief from a penalty imposed under Revenue and Taxation Code Sections 19164.5, 19173, 19179, 19182, 19772, 19773, or 19774. You must complete a separate FTB 626 for each penalty from which you want relief.
Name of Taxpayer/Entity
Social Security Number/Entity ID Number
Spouse/RDP
Spouse’s/RDP’s Social Security Number
Address (number, street, and room, or suite number)
City, State, and ZIP Code
Tax Year (if applicable)
Amount of Penalty
I request that Franchise Tax Board’s Chief Counsel relieve the following penalty: (Check only one. You must submit a separate claim for each penalty from which you want relief. )
Section 19164.5 - Reportable transaction
Section 19173 - Failure to maintain advisee lists penalty
Section 19179 - Frivolous return penalty
Section 19179(d) - Frivolous submission penalty
Section 19182 - Failure to furnish information regarding reportable transactions
Section 19772 - Failure to disclose reportable transaction penalty
Section 19773 - Reportable transaction understatement penalty
Section 19774 - Noneconomic substance transaction understatement penalty
I attached a statement specifying the facts and reasons supporting my request for relief from the selected penalty.
Under penalties of perjury, I declare that I have examined this request, including any accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Signature (and title if applicable) |
Date |
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Signature |
Date |
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Get FTB 1131, Franchise Tax Board Privacy Notice, at ftb.ca.gov or call us at 800.338.0505 and select form code 948 when prompted. If outside the United States, call us at 916.845.6500.
FTB 626 C2 (REV
Instructions for FTB 626
Request for Chief Counsel to Relieve Penalties
Purpose of FTB 626
You can use FTB 626 to request that Franchise Tax Board’s Chief Counsel relieve certain penalties. The law provides the Chief Counsel with discretion to relieve all or part of these penalties. You can only request relief from penalties listed on the front of FTB 626.
You must complete an FTB 626 for each penalty from which you are seeking relief and attach a copy of the notice on which we imposed the penalty. We impose penalties on Notices of Proposed Assessment or billing notices.
Speciic Instructions
Social Security Number – Individuals: If your request for penalty relief is related to a joint return, enter social security numbers for both you and your spouse/RDP.
Entity Identiication Number: If your request for penalty relief is for a corporation, partnership, estate, trust,
LLC or other business entity, enter the entity identiication number.
Signature – Individuals: If you iled a joint return, and you and your spouse/RDP are both requesting relief, both spouses/RDPs should sign the request.
Signature – Business Entities: An authorized individual must sign requests iled by business entities, and the signature must be accompanied by the individual’s title.
Your authorized representative may ile FTB 626 for you. A copy of the original Power of Attorney must be attached to FTB 626.
Statement: You must attach a statement specifying the facts and reasons supporting your request for relief from the penalty.
Mail your completed request and supporting statement to:
CHIEF COUNSEL LEGAL DIVISION MS A 260
FRANCHISE TAX BOARD
PO BOX 1720
RANCHO CORDOVA CA
For additional penalty information, go to ftb.ca.gov and search for penalty. You can also contact us at 800.852.5711.
Connect With Us
Web: ftb.ca.gov |
Phone: |
800.852.5711 |
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7 a.m. to 5 p.m. weekdays, except state holidays |
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916.845.6500 |
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from outside the United States |
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TTY/TDD: |
800.822.6268 |
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for persons with hearing or speech impairments |
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FTB 626 C2 (REV